Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 10.4

ICD Procedure Codes

Last amended: 2014Year: 2014Length: 133 wordsOfficial source
10.4 - ICD Procedure Codes (Rev. 3081, Issued: 09-26-14, Effective: Upon Implementation of ICD-10, Implementation: Upon Implementation of ICD-10) ICD procedure codes are required for inpatient hospital Part A claims only. Healthcare Common Procedure Code System (HCPCS) codes are used for reporting procedures on other claim types. Inpatient hospital claims require reporting the principal procedure if a significant procedure occurred during the hospitalization. For information of the selection of the principal procedure, see the Official ICD-10-PCS coding guidelines posted with the annual updates to ICD-10-PCS posted at http://www.cms.gov/Medicare/Coding/ICD10/index.html The principal procedure code and other procedure codes shown on the bill must be the full ICD-9-CM, Volume 3, or ICD-10-PCS procedure code, including all applicable digits, up to seven digits. Up to twenty four significant procedures other than the principal procedure may be reported.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 10.4: ICD Procedure Codes | Justis AI